RESCUED WITH LOVE INC.

RESCUED...REHABILITATED...REHOMED

Information Form

*Your Name: *Address: *Home Phone: Business Phone: Mobile Phone: Email: *Which dog are you interested in? *Do you work?
Part Time?
Work from home?
Stay at home?
Retired?
Full Time?
*Does your job require you to move or travel often?
Yes
No
*Do you have any other pets?
Yes
No
*If yes, please state breed, sex, number *Are all your pets desexed?
Yes
No
Where do your existing pets sleep? Where will your new dog sleep? If you already own pets, please state name of Vet and Phone number *How many people live in your house? Adults? Children? If yes to children, what age?
0-10 years
10-18 years
over 18 years
*Do you live in a house/townhouse/apartment
House
Townhouse
Apartment
*Do you rent your home or own/buy?
Own/buy
Rent
Do you have secure fencing?
Yes
No
Please describe your fencing
*Do you have a swimming pool, or pond, lake or river on your property?
Yes
No
*If you became ill, is there someone to care for your pets?
Yes
No
*Do you suffer any allergies? *If you go on holidays, what do you do with your pet? Who will be the main caretaker of your new dog? *Please tick what you are able to financially provide for your pet.
An annual Vaccination
Monthy flea treatment
Monthly Heartworm treatment
3 monthly worm treatment
dental work
Vet care in case of accidents
Council Registration
schooling/training
Accomodation during holidays
Required grooming
$350 adoption fee
Please describe the type of diet you would provide for your dog.
*Do you have a doggie door that allows 24 hour indoor/outdoor access? *How often can you exercise your pet?
none
once a day
twice a day
more than twice
*Have you had a dog before?
Yes
No
*Have you ever surrendered a pet to a pound/shelter?
Yes
No
*Reason for surrendering pet? *Please tell us about your previous pets
*Why do you want to adopt a RWL dog?
If this adoption does not proceed, please feel free to list any types of dogs you would be interested in adopting
*Do you object to a house and yard check being carried out?
Yes
No
Under what circumstances would you give up your pet? ie death in the family, barking, digging, cost , new baby etc
* Rescued With Love reserves the right to refuse any application. No reason will be entered into. Do you accept?
I accept
I do not accept
*Due to the high volume of enquiries we are not able to respond to all applications. If your application is suitable for the dog you are inquiring about we will contact you between 7-10 days.
I accept
I don't accept

Rescued With Love is dedicated to finding the best homes for all their dogs. Therefore the dogs needs are to be matched to what the potential adopter can offer. Most times this happens. Occassionally a dog isn't suitable ie, shouldn't be rehomed with small children, too playful for an retired couple, needs to be an only dog in the family, or requires a playmate.

Everything will be taken into consideration and we will get back to you. Thanks for your patience.

Please answer every question and submit the form. We will get back to you as soon as possible.

All information is kept strictly confidential.